Vitaux J, Theodore C, Molas G, Cornud F, Debray D, Gosset F, Paolaggi J A
Nouv Presse Med. 1981 Feb 21;10(7):495-8.
Two men aged 28 and 33 were found to have subcapsular haematoma of the spleen secondary to chronic alcoholic pancreatitis. One of the patients presented with a pancreatic pseudo-cyst, left amylase pleural effusion and thrombosis of the splenic vein. Selective coeliac and mesenteric angiography and, chiefly, echotomography pointed to the diagnosis, which was confirmed on abdominal incision and histopathological study of the lesions. From these two cases and a review of 63 cases previously published the authors describe the clinical symptoms (acute anaemia with abdominal tumour), pathogeny (vascular or enzymatic) and diagnosis of the condition. Echotomography of the pancreas seems to be the best non invasive method to detect splenic complications of chronic pancreatitis.
两名年龄分别为28岁和33岁的男性被发现患有继发于慢性酒精性胰腺炎的脾包膜下血肿。其中一名患者出现胰腺假性囊肿、左侧淀粉酶性胸腔积液和脾静脉血栓形成。选择性腹腔动脉和肠系膜血管造影，主要是超声断层扫描明确了诊断，腹部切口及病变的组织病理学研究证实了这一诊断。通过这两例病例以及对之前发表的63例病例的回顾，作者描述了该病的临床症状（伴有腹部肿块的急性贫血）、病因（血管性或酶性）及诊断。胰腺超声断层扫描似乎是检测慢性胰腺炎脾脏并发症的最佳非侵入性方法。
